Permanent Transportation Form

How students will be arriving and leaving the school, as well as rainy day dismissal.

Today's Date Today's Date / MM / DD YYYY
Student's Name Student's Name First Last
Parent #1 Name Parent #1 Name First Last
Parent #1 Phone # Parent #1 Phone # - ### - ### ####
Parent #1 Email
Parent #2 Name Parent #2 Name First Last
Parent #2 Phone # Parent #2 Phone # - ### - ### ####
Parent #2 Email
Grade
Teacher Name
Current Dismissal Method

Please select One
Daycare Van name if applicable
Permanent Dismissal Change

My child will DEPART from school in the following manner: Please select One
Daycare Van name if applicable
IMPORTANT: If for any reason you need to change your child’s dismissal, YOU WILL NEED to communicate through the online form on our school website BEFORE 2:15pm. We will not accept a verbal message from the child. If for any reason you need to pick up your child(ren) early, the latest pick up time is 3:00pm.
Spam Protection. Please answer this simple question:
In the number 84657, what is the 5th digit?